Individual
CHRISTIAN L GRANDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2035 MESQUITE AVE, LAKE HAVASU CITY, AZ 86403-5894
(928) 208-4598
(888) 571-6436
Mailing address
2035 MESQUITE AVE, LAKE HAVASU CITY, AZ 86403-5894
(928) 208-4598
(888) 571-6436
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2719
AZ
Other
Enumeration date
06/05/2006
Last updated
10/21/2025
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